Individual
ANGELINA GALLARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5803 W CRAIG RD STE 105, LAS VEGAS, NV 89130-2537
(702) 901-5200
Mailing address
5514 WINTERDALE ST, NORTH LAS VEGAS, NV 89031-3668
(702) 635-0940
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
RBT-23-310570
NV
Other
Enumeration date
12/01/2023
Last updated
12/01/2023
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